Mahmoud Khaled Abdelghaffar, MD
Individual provider Active NPI Anesthesiology Physician · Cheverly, MD
NPI 1306408570 · NPPES record last updated Oct 17, 2023
Key facts
- NPI
- 1306408570
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 72438 (CT)
- Practice address
- 3001 Hospital Dr
Cheverly, MD 20785-1189 - Phone
- (301) 618-2273
- NPI assigned
- Jul 8, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Integrated Anesthesia Associates LLC
Practice addresses (Care Compare)
80 Semour St
Hartford, CT 06106-3315
Phone (860) 972-2117
Hospital & facility affiliations
- Hartford Hospital
- The Hospital of Central Connecticut
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230608001476 | CT | Practitioner - Anesthesiology | 3971960881 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72438 | CT | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Anesthesia Associates LLC | Anesthesiology | Current |
Accepting new patients |
Locations
80 Seymour St
Hartford, CT 06106
Phone (860) 545-2249
99 E River Dr
Fl 5
Hartford, CT 06108
Phone (860) 282-4022
2 Corporate Dr
Fl 9
Shelton, CT 06484
Phone (203) 929-7375
2 Corporate Dr
Ste 955
Shelton, CT 06484
Phone (203) 929-7375
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Anesthesiology Physician | 207L00000X | 72438 | CT | Yes |
Addresses
Primary practice location
3001 Hospital Dr
Cheverly, MD 20785-1189
Mailing address
99 E River Dr FL 5
East Hartford, CT 06108-7301
Phone (860) 282-4104
Other practice location 1
2 Corporate Dr Fl 9
Shelton, CT 06484-6238
Phone (203) 929-7353
Other practice location 2
80 Seymour St
Hartford, CT 06102-8000
Phone (203) 929-7353
Other providers in Cheverly, MD
- A1 Health Corporation
- Abdul G. Chaudry
- Helen Asmamaw Abebe
- Mehnur Abedin
- Musilimot Abiola
- Absolutely Divine Home Care Agency, Inc.
All providers in Cheverly, MD · Anesthesiology Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.